《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (07): 647-648.

• 临床研究 • 上一篇    下一篇

56例高血压病合并短暂性脑缺血发作患者心理障碍调查

王磊1,2; 黄铁柱1,3; 何国厚2; 王华2   

  1. 1.武汉大学医学院,湖北武汉市 430071;2.郧阳医学院附属太和医院神经内科,湖北十堰市 442000;3.郧阳医学院生物力学研究室,湖北十堰市 442000
  • 收稿日期:2006-11-22 出版日期:2007-07-01 发布日期:2007-07-01

Psychologic Investigation of Hypertensive with Transient Ischemic Attack: 56 Cases Report

WANG Lei, HUANG Tie-zhu, HE Guo-hou, et al   

  1. Department of Neurology, Taihe Hospital, Shiyan 442000, Hubei, China
  • Received:2006-11-22 Published:2007-07-01 Online:2007-07-01

摘要: 目的调查高血压病合并短暂性脑缺血发作(TIA)患者的心理健康状况。方法采用症状自评量表(SCL-90)、艾森克个性问卷(成人)(EPQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对56例高血压病合并TIA患者进行测评。结果和结论SCL-90因子偏执和人际关系均分低于常模(P<0.05),其余各因子均分明显高于常模(P<0.01);躯体化、强迫、焦虑症状与EPQ中E分量表呈负相关,敌对、恐怖与EPQN量表呈正相关。71.4%的患者有不同程度的抑郁,78.6%的患者有不同程度的焦虑,抑郁和焦虑与发作次数呈正相关,以焦虑更为显著。

关键词: 高血压, 短暂性脑缺血发作(TIA), 症状自评量表(SCL-90), 艾森克个性问卷(EPQ), 焦虑自评量表(SAS), 抑郁自评量表(SDS)

Abstract: Objective To investigate the psychologic characteristics of the hypertensive with transient ischemic attack(TIA). Methods 56 hypertensive patients with TIA were surveyed with Symptom Checklist 90 (SCL-90), Eysenck Personality Questionnaire (EPQ), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS). Results and Conclusion The score in interpersonal sensitivity and paranoid factors of SCL-90 were below the norm obviously(P<0.05), the score of other factors were higher than the norm(P<0.01). Somatization, obsessive-compulsive, anxiety correlated negatively with E scale, while hostility, phobia anxiety, anxiety correlated positively with N scale. 71.4% patients appeared depression while 78.6% patients appeared anxiety in differently degree. Depression and anxiety correlated positively with the times of TIA, especially the anxiety.

Key words: hypertention, transient ischemic attack(TIA), Symptom Checklist 90 (SCL-90), Eysenck Personality Questionnaire (EPQ), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS)